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9781946989772

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This book is a formulation of a new way of thinking for most physicians, a genuine paradigm shift and a framework within which clinicians can improve clinical effectiveness and enjoyment of practice. Dr. Mold casts the clinicians gaze toward patients' goals rather than diagnosis and treatment of problems. He then explains what the new way is, how it differs from standard clinical practice, and how it can be done despite structural impediments. Along the way, he perturbs readers by questioning abiding assumptions, such as: Is seeking normalcy a good idea? Can problems be separated cognitively from the people who have them? When these insights are juxtaposed with national health policy failures, this book becomes a foundational read not just for clinicians, but also for employers, payers, and policy makers. -Larry A. Green, MD, Professor and Epperson Zorn Chair for Innovation in Family Medicine and Primary CareUniversity of Colorado School of Medicine Goal-Oriented Medical Care is reflective, revolutionary, and readable. In this remarkable book, Dr. Mold adds to the legacy of Osler, Peabody and McWhinney. Based on decades of clinical experience he offers a fresh vision for how patients and doctors can partner to create healthy, rewarding lives. While guidelines provide the traffic signs and decision rules mark the turns, goal-oriented care helps doctors and patients create personal maps to better health. -William R. Phillips, MD, MPH, FAAFPProfessor Emeritus of Family MedicineUniversity of Washington Dr. Mold has written a book that is both inspirational and instructional, inspirational because he describes clinical care that serves the goals of the patient, not the health system or individual disease guidelines. Today's foci on disease-oriented guidelines and quality metrics do not always align with patients' priorities. The book is instructional because he takes the time to tell us how to practice this way. He is clear that goal-oriented medical care requires greater, not less, command of the effects of treatments and behaviors on health outcomes. It also requires genuine curiosity about our patients' lives and empathy for their chosen paths. This method of practice is intellectually rewarding. It is aligned with the higher calling of being a physician. -Darren A. DeWalt, MD, MPHJohn R. and Helen B. Chambliss Distinguished ProfessorChief, Division of General Medicine and Clinical Epidemiology and Director of Population Health, Department of Medicine, UNC School of Medicine

"""This book is a formulation of a new way of thinking for most physicians, a genuine paradigm shift and a framework within which clinicians can improve clinical effectiveness and enjoyment of practice. Dr. Mold casts the clinicians gaze toward patients' goals rather than diagnosis and treatment of problems. He then explains what the new way is, how it differs from standard clinical practice, and how it can be done despite structural impediments. Along the way, he perturbs readers by questioning abiding assumptions, such as: ""Is seeking normalcy a good idea?"" ""Can problems be separated cognitively from the people who have them?"" When these insights are juxtaposed with national health policy failures, this book becomes a foundational read not just for clinicians, but also for employers, payers, and policy makers."" -Larry A. Green, MD, Professor and Epperson Zorn Chair for Innovation in Family Medicine and Primary CareUniversity of Colorado School of Medicine ""Goal-Oriented Medical Care is reflective, revolutionary, and readable. In this remarkable book, Dr. Mold adds to the legacy of Osler, Peabody and McWhinney. Based on decades of clinical experience he offers a fresh vision for how patients and doctors can partner to create healthy, rewarding lives. While guidelines provide the traffic signs and decision rules mark the turns, goal-oriented care helps doctors and patients create personal maps to better health."" -William R. Phillips, MD, MPH, FAAFPProfessor Emeritus of Family MedicineUniversity of Washington ""Dr. Mold has written a book that is both inspirational and instructional, inspirational because he describes clinical care that serves the goals of the patient, not the health system or individual disease guidelines. Today's foci on disease-oriented guidelines and quality metrics do not always align with patients' priorities. The book is instructional because he takes the time to tell us how to practice this way. He is clear that goal-oriented medical care requires greater, not less, command of the effects of treatments and behaviors on health outcomes. It also requires genuine curiosity about our patients' lives and empathy for their chosen paths. This method of practice is intellectually rewarding. It is aligned with the higher calling of being a physician."" -Darren A. DeWalt, MD, MPHJohn R. and Helen B. Chambliss Distinguished ProfessorChief, Division of General Medicine and Clinical Epidemiology and Director of Population Health, Department of Medicine, UNC School of Medicine"

""This book is a formulation of a new way of thinking for most physicians, a genuine paradigm shift and a framework within which clinicians can improve clinical effectiveness and enjoyment of practice. Dr. Mold casts the clinicians gaze toward patients' goals rather than diagnosis and treatment of problems. He then explains what the new way is, how it differs from standard clinical practice, and how it can be done despite structural impediments. Along the way, he perturbs readers by questioning abiding assumptions, such as: ""Is seeking normalcy a good idea?"" ""Can problems be separated cognitively from the people who have them?"" When these insights are juxtaposed with national health policy failures, this book becomes a foundational read not just for clinicians, but also for employers, payers, and policy makers."" -Larry A. Green, MD, Professor and Epperson Zorn Chair for Innovation in Family Medicine and Primary CareUniversity of Colorado School of Medicine ""Goal-Oriented Medical Care is reflective, revolutionary, and readable. In this remarkable book, Dr. Mold adds to the legacy of Osler, Peabody and McWhinney. Based on decades of clinical experience he offers a fresh vision for how patients and doctors can partner to create healthy, rewarding lives. While guidelines provide the traffic signs and decision rules mark the turns, goal-oriented care helps doctors and patients create personal maps to better health."" -William R. Phillips, MD, MPH, FAAFPProfessor Emeritus of Family MedicineUniversity of Washington ""Dr. Mold has written a book that is both inspirational and instructional, inspirational because he describes clinical care that serves the goals of the patient, not the health system or individual disease guidelines. Today's foci on disease-oriented guidelines and quality metrics do not always align with patients' priorities. The book is instructional because he takes the time to tell us how to practice this way. He is clear that goal-oriented medical care requires greater, not less, command of the effects of treatments and behaviors on health outcomes. It also requires genuine curiosity about our patients' lives and empathy for their chosen paths. This method of practice is intellectually rewarding. It is aligned with the higher calling of being a physician."" -Darren A. DeWalt, MD, MPHJohn R. and Helen B. Chambliss Distinguished ProfessorChief, Division of General Medicine and Clinical Epidemiology and Director of Population Health, Department of Medicine, UNC School of Medicine

Author Information

Dr. Mold received his undergraduate degree from the University of Michigan and his medical degree from Duke University School of Medicine. He completed a residency in Family Medicine at the University of Rochester/Highland Hospital and a Master of Public Health in Biostatistics at the University of Oklahoma Health Sciences Center. He practiced in Ghana, West Africa, for 6 months, then in a small town in North Carolina for 6 years, before joining the faculty at the University of Oklahoma Health Sciences Center in 1984. In 2008 he was elected to the National Academy of Medicine (NAM), an organization that recognizes outstanding clinicians and scientists and assists government agencies and the private sector make policy decisions to improve population health. Since his retirement in 2014, he has served as a consultant to the Oklahoma Primary Care Improvement Cooperative, an organization at the University of Oklahoma created and named in his honor, and to several researchers at the University of North Carolina. He lives in Chapel Hill, NC, with his wife Sandy and their two dogs. He enjoys gardening, cooking, hiking, writing, and basketball.

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